CCNCCE 2010 Annual National Conference
Formulas 4 Success in Service Learning and Civic Engagement
       
Submit Proposal Form
(Information subject to change without notice.)

Please read the information under the "Call for Proposals" tab above before submitting this form.
Thank you!

No more than 3 presenters per workshop, please.

Lead Presenter Information:
First Name
Last Name
Job Title
Department
Enter your discipline or department
College Name
Street Address
City
State
Zip Code
Phone
Fax
Email

Brief Bio:
Please provide a brief (1 paragraph) bio on this presenter in the box below:

Meal Preference:

A pre-conference will be held on Wednesday, May 26, 2010. Morning Pre-Conference Selection:

Afternoon Pre-Conference Selection:


Co-Presenter #1 Information:
First Name
Last Name
Job Title
Department
Enter your discipline or department
College Name
Street Address
City
State
Zip Code
Phone
Fax
Email

Brief Bio:
Please provide a brief (1 paragraph) bio on this presenter in the box below:

Meal Preference:

A pre-conference will be held on Wednesday, May 26, 2010.

Morning Pre-Conference Selection:

Afternoon Pre-Conference Selection:

Co-Presenter #2 Information:
First Name
Last Name
Job Title
Department
Enter your discipline or department
College Name
Street Address
City
State
Zip Code
Phone
Fax
Email

Brief Bio:
Please provide a brief (1 paragraph) bio on this presenter in the box below:

Meal Preference:

A pre-conference will be held on Wednesday, May 26, 2010, comprised of both morning and afternoon sessions.

Morning Pre-Conference Selection:

Afternoon Pre-Conference Selection:

Presentation Information:


Please select the specific experience level this presentation would be best suited for:


Designate which audience would be most appropriate for this presentation: (Check all that apply.)
Senior Administrators
Faculty
Service-Learning Directors/Other Staff
Students
Community Agency/Organization Representatives
Other (Please specify in box below:


Title of Presentation: Should be approximately 10 words and accurately describe your session.


What time frame have you allotted for your workshop:
One Hour Ninety (90) Minutes

Presentation Description: Please provide a 50-75 word description that will be utilized in the conference program to market your session to participants. Please include any special features of your presentation.

Presentation Design: Please provide an overview (no more than 150 words) of specific learning objectives and how your proposed session will address these objectives. Include general instructional design information, such as the use of handouts, interactive activities and visual aids.

Summary of Presentation Experience: Please provide a brief description of presenters' experience in conducting recent workshops at regional or national conferences.

Audio/Video Requirements:

Every session will be provided with a standard Audio/Video package which includes the following:

  • Screen
  • Easil, Flip-Chart, Markers, and Masking Tape
  • LCD Projector for viewing PowerPoint Presentations or DVD's.

We cannot provide laptop computers, so if you plan on using the LCD Projector, you must bring your own laptop computer to use with it.

The lead presenter will be charged $100.00 for this standard Audio/Video package. Additional audio/video equipment may be provided for an additional fee.

If you plan on showing a DVD, you must bring a laptop that has a DVD drive, and we suggest that you use external speakers so the audio portion of your presentation can be heard by your audience. (The internal speakers on laptop computers are usually not sufficient for this purpose.) You may order external speakers for an additional $20 charge (see below) or you may bring your own.

Please indicate the additional audio/video equipment you would like to order by checking all that apply:
Audio Tape Recorder ($30)
Slide Projector ($30)
Overhead Projector ($30)
Television Monitor with VCR ($50)
Compact Disk Player ($30)
External Speakers ($20)--recommended for showing DVD's
Other - Please specify in box below:

Please note that we are not able to provide internet access. If you require internet access, you must make prior arrangements with the hotel directly and must pay all fees associated with internet access.

Will you require internet access? Yes No

Required Release Forms:

Every presenter must complete a Talent Release Form and a Photo Shoot Release Form and fax the completed forms back to us at 480-844-3217. These forms give us the right to post the paper you submit to us on your presentation and photos from the conference that you may be included in onto our website. Below are the links to download these forms:

Make sure you have filled the form out completely.

PLEASE USE THE MENU AT THE TOP OF YOUR BROWSER SCREEN TO PRINT A COPY OF YOUR PROPOSAL TO PRESENT.

If our college is having server problems and your proposal does not go through, please fax your printed copy of it to 480-461-6284. Thanks!

If you do not receive e-mail confirmation of this proposal to present, please contact Gloria Schoonover.
Email: schoonover@mesacc.edu
Phone: (480)461-6280

More information on this conference will be posted as it becomes available. This information is subject to change. For more information, please contact Gloria Schoonover at 480-461-6280 or email her at schoonover@mesacc.edu.

Please check back with us soon for further details.